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Review
. 2023 Nov 1;34(6):529-534.
doi: 10.1097/ICU.0000000000000991. Epub 2023 Aug 18.

Ophthalmic manifestations of tuberculosis

Brandon Bates  1 , Eric L Crowell
Affiliations
Review

Ophthalmic manifestations of tuberculosis

Brandon Bates et al. Curr Opin Ophthalmol. .

Abstract

Purpose of review: To evaluate the epidemiology, microbiology, and pathology of Mycobacterium Tuberculosis (MTB). Utilizing these basic science concepts, the reader will discover how MTB can cause disease in any part of ophthalmic system. This article will aid clinicians in establishing the difficult diagnosis and management strategies for ophthalmic tuberculosis (OTB).

Recent findings: Recently, expert panels have reached a consensus on naming conventions and treatment strategies for the variety of ocular tuberculosis (TB). This consensus helps individual clinicians decide when to recommend full anti-TB treatment.

Summary: Globally, TB is nearly ubiquitous in the human population. It is most recognized for its pulmonary disease, but pathology of nearly every structure of the ophthalmic system has been identified. This heterogeneity makes establishing a diagnosis difficult, but recent improvements in expert panel naming consensus and nucleic acid amplification tests are improving diagnostic abilities. Clinicians are now feeling more confident with prescribing anti-TB regimens, but ongoing questions regarding the use of oral steroids and risk of medication-induced ocular toxicity remain.

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References

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    1. Testi I, Agrawal R, Mehta S, et al. Ocular tuberculosis: where are we today? Indian J Ophthalmol 2020; 68:1808–1817.
    1. Adigun R, Singh R. Tuberculosis. 2023; Treasure Island (FL): StatPearls,
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    1. Mbuh TP, Ane-Anyangwe I, Adeline W, et al. Bacteriologically confirmed extra pulmonary tuberculosis and treatment outcome of patients consulted and treated under program conditions in the littoral region of Cameroon. BMC Pulm Med 2019; 19:17.

MeSH terms